Doctor Name: | MISS ERICA KATHERINE MANGER |
NPI Number: | 1912934282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 10850 |
Business Practice Address: | 187 Greenbriar Blvd Suite B Covington, LA - 704337234 |
Business Phone Number: | 9858711189 |
Business Fax Number: | 9858711184 |
Mailing Address: | 70452 Highway 21, Suite 200-161 COVINGTON |
State: | LA |
Postal Code: | 704338116 |
Phone Number: | 9858711189 |
Fax Number: | 9858711184 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 10850 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |